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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. HEATHER ROAN PORTER, PTA

Active Sole Proprietor

MRS. HEATHER ROAN PORTER, PTA is a Occupational Therapist healthcare provider located in GRANITE CITY, Illinois. NPI 1336116615 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GRANITE CITY, IL

Registration Details

NPI Number
1336116615
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2006 (20.415221939346 yrs)
Last Updated
Dec 13, 2022
Licenses
PTA-333 (ID)
2020010583 (MO)
160.008943 (IL)
Sole Proprietor
Yes

Practice Information

Address
1503 LINDELL BLVD
GRANITE CITY, IL, 620403837
Browse IL providers · Browse ZIP 62040
Phone
6187094125
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in GRANITE CITY, IL

Name Credential NPI
TANYA VIETMEIER PTA 1063772986
MISS JAMIE LYNN BAKER LPTA 1396006730
MR. JOHN RICHARD TAYLOR III PTA 1386905396
PATRICIA A BURNS PTA 1881930584
MR. CHARLES T SILK PTA 1245576933
MRS. KIM ANN SORGEA PTA 1972849446
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.